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EM Clerkship

Round 26 (MW) Dizziness and Fatigue

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Health & Fitness, Science, Education, Medicine, Life Sciences

4.9816 Ratings

🗓️ 1 November 2024

⏱️ 37 minutes

🧾️ Download transcript

Summary


Introduction:



You are working at Clerkship General when the next chart is handed to you. It’s a 35-year-old female with a chief complaint of dizziness and fatigue. She is here accompanied by her husband.



Initial Vitals:



HR: 118



BP: 150/91



Temp: 100.4F



RR: 20



O2: 99% Room Air



Critical Actions:




* Check pregnancy test



* Check hemolysis labs



* Diagnose TTP



* Consult hematology



* Initiate treatment for TTP

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more

0:38.9

at www.gitfreed.a.i. Hello, residents. My name is Mike Estefan. I'm joined today by

0:49.1

Maddie Watts and thank you for downloading this month's episode of the EM Clerkship podcast.

0:55.8

This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance broker.

1:02.1

We will talk more about Pearson Rabbits later in the episode.

1:05.6

But for now, let's get into it.

1:07.5

Maddie, how are you doing?

1:09.0

I'm good. How are you?

1:10.6

I'm doing all right.

1:13.3

Just a fair warning to you. You are approaching the second half of your third year.

1:20.3

And I have a bunch of cases saved up from all the diabolical ideas that our listeners have emailed me. And I don't think it's going to be

1:31.1

easy from here on out. I think these cases are going to be fun. Fun for a lot of people,

1:37.2

me not being one of them, but I knew this time was coming. Yes.

1:44.8

So this is not a case from a listener, but I've been saving this case for a long time.

1:50.9

But I think from here on out, we're going to start doing some listener cases.

1:54.4

They were just too mean to give you as a second year.

...

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